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Peripheral Nerve Entrapments pp 795–810Cite as

Sural Nerve Entrapment

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Abstract

The sural nerve is a pure sensory nerve and can be entrapped in several different locations causing pain in the calf as well as the lateral ankle and foot. When injured by trauma or compression, neuropathic pain, burning, and cutaneous allodynia may occur. Physical examination is considered the principal method of clinical diagnosis of sural nerve neuropathies. This pain condition may be treated with nerve injections or neurolytic or surgical techniques.

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References

  1. Pringle RM, Protheroe K, Mukherjee SK. Entrapment neuropathy of the sural nerve. J Bone Joint Surg Br. 1974;56B(3):465–8.

    CAS  PubMed  Google Scholar 

  2. George BM, Nayak S. Sural nerve entrapment in gastrocnemius muscle – a case report. Neuroanatomy. 2007;8:41–2.

    Google Scholar 

  3. Birbilis TH, Ludwig HC, Markakis E. Neuropathy of the sural nerve caused by external pressure. Acta Neurochir (Wien). 2000;142(8):951–2.

    Article  CAS  Google Scholar 

  4. Schon LC. Nerve entrapment, neuropathy, and nerve dysfunction in athletes. Orthop Clin N Am. 1994;25(1):47–59.

    CAS  Google Scholar 

  5. Schuchmann JA. Isolated sural neuropathy: report of two cases. Arch Phys Med Rehabil. 1980;61(7):329–31.

    CAS  PubMed  Google Scholar 

  6. Bora Jr FW, Osterman AL. Compression neuropathy. Clin Orthop Relat Res. 1982;163:20–32.

    Google Scholar 

  7. Schon LC, Baxter DE. Neuropathies of the foot and ankle in athletes. Clin Sports Med. 1990;9(2):489–509.

    CAS  PubMed  Google Scholar 

  8. Paraskevas GK, Natsis K, Tzika M, Ioannidis O. Fascial entrapment of the sural nerve and its clinical relevance. Anat Cell Biol. 2014;47(2):144–7.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Refaeian M, King JC, Dumitru D. Isolated sural neuropathy presenting as lateral ankle pain. Am J Phys Med Rehabil. 2001;80(7):543–6.

    Article  CAS  PubMed  Google Scholar 

  10. Bora F, Osterman A. Compression neuropathy. Clin Orthop. 1982;163:20–32.

    Google Scholar 

  11. Schon L. Nerve entrapment, neuropathy, and nerve dysfunction in athletes. Clin Orthop. 1994;25:47–59.

    CAS  Google Scholar 

  12. Schon L, Baxter D. Neuropathy in the foot and ankle in athletes. Clin Sports Med. 1990;9:489–508.

    CAS  PubMed  Google Scholar 

  13. Stickler DE, Morley KN, Massey EW. Sural neuropathy: etiologies and predisposing factors. Muscle Nerve. 2006;34(4):482–4.

    Article  CAS  PubMed  Google Scholar 

  14. Fabre T, Montero C, Gaujard E, Gervais-Dellion F, Durandeau A. Chronic calf pain in athletes due to sural nerve entrapment. A report of 18 cases. Am J Sports Med. 2000;28(5):679–82.

    Article  CAS  PubMed  Google Scholar 

  15. Pasternack WA, Lipp RM. Idiopathic sural neuroma. A case report. J Am Podiatr Med Assoc. 1992;82(8):424–7.

    Article  CAS  PubMed  Google Scholar 

  16. Mestdagh H, Drizenko A, Maynou C, Demondion X, Monier R. Origin and make up of the human sural nerve. Surg Radiol Anat. 2001;23(5):307–12.

    Article  CAS  PubMed  Google Scholar 

  17. Redborg KE, Antonakakis JG, Beach ML, Chinn CD, Sites BD. Ultrasound improves the success rate of a tibial nerve block at the ankle. Reg Anesth Pain Med. 2009;34(3):256–60.

    Article  PubMed  Google Scholar 

  18. Donovan A, Rosenberg ZS. MRI of ankle and lateral hindfoot impingement syndromes. AJR Am J Roentgenol. 2010;195(3):595–604.

    Article  PubMed  Google Scholar 

  19. Riedl O, Frey M. Anatomy of the sural nerve: cadaver study and literature review. Plast Reconstr Surg. 2013;131(4):802–10.

    Article  CAS  PubMed  Google Scholar 

  20. Kavyashree AN, Subhash LP, Asha KR, Bindu Rani MK. Anatomical variations in formation of sural nerve in adult Indian cadavers. J Clin Diagn Res. 2013;7(9):1838–41.

    Google Scholar 

  21. Sekiya S, Tokita K, Banneheka SK, Suzuki R, Miyawaki M, Chiba S, et al. Reexamination of the communicating branch between the sural and tibial nerves. Kaibogaku Zasshi J Anat. 2006;81(3):83–8.

    Google Scholar 

  22. Arimura K, Arimura Y, Ng AR, Ohkatsu Y. Inching method in compression neuropathy of the sural nerve distal to the ankle. Electromyogr Clin Neurophysiol. 2005;45(4):229–32.

    CAS  PubMed  Google Scholar 

  23. Ricci S, Moro L, Antonelli IR. Ultrasound imaging of the sural nerve: ultrasound anatomy and rationale for investigation. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 2010;39(5):636–41.

    Article  CAS  Google Scholar 

  24. Reisin R, Pardal A, Ruggieri V, Gold L. Sural neuropathy due to external pressure: report of three cases. Neurology. 1994;44(12):2408–9.

    Article  CAS  PubMed  Google Scholar 

  25. Fujita I, Matsumoto K, Minami T, Kizaki T, Akisue T, Yamamoto T. Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. J Foot Ankle Surg. 2004;43(3):185–90.

    Article  PubMed  Google Scholar 

  26. Lam S. Tarsal tunnel syndrome. J Bone Joint Surg Br. 1967;49(1):87–92.

    CAS  PubMed  Google Scholar 

  27. Baghla DP, Shariff S, Dega R. Calcaneal osteomyelitis presenting with acute tarsal tunnel syndrome: a case report. J Med Case Rep. 2010;4:66.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Kim Y, Kim DH, Kim NH, Kim BH, Park BK. Dorsal sural neuropathy: electrophysiological, ultrasonographic, and magnetic resonance imaging findings. Muscle Nerve. 2012;46(4):597–600.

    Article  PubMed  Google Scholar 

  29. Schuchmann JA. Sural nerve condition: a standardized technique. Arch Phys Med Rehabil. 1977;58:166–8.

    CAS  PubMed  Google Scholar 

  30. Donovan A, Rosenberg ZS, Cavalcanti CF. MR imaging of entrapment neuropathies of the lower extremity. Part 2. The knee, leg, ankle, and foot. Radiographics. 2010;30(4):1001–19.

    Article  PubMed  Google Scholar 

  31. Martinoli C, Court-Payen M, Michaud J, Padua L, Altafini L, Marchetti A, et al. Imaging of neuropathies about the ankle and foot. Semin Musculoskelet Radiol. 2010;14(3):344–56.

    Article  PubMed  Google Scholar 

  32. Rhame EE, Debonet AF, Simopoulos TT. Ultrasonographic guidance and characterization of cryoanalgesic lesions in treating a case of refractory sural neuroma. Case Rep Anesthesiol. 2011;2011:691478.

    PubMed  PubMed Central  Google Scholar 

  33. Todorov L. Pulsed radiofrequency of the sural nerve for the treatment of chronic ankle pain. Pain Physician. 2011;14(3):301–4.

    PubMed  Google Scholar 

  34. Huelke DF. A study of the formation of the sural nerve in adult man. Am J Phys Anthropol. 1957;15(1):137–47.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Interventional Regenerative Orthopedic Medicine Institute, Seattle, WA, USA

    Michael N. Brown DC, MD

  2. Flagler Hospital (St. Augustine FL), St. Augustine, FL, USA

    Beth S. Pearce DPM, BA(Biology)

  3. Singular – Centro de Controle da Dor, Campinas, SP, Brazil

    Thais Khouri Vanetti MD, FIPP

  4. Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil

    Thais Khouri Vanetti MD, FIPP

Authors
  1. Michael N. Brown DC, MD
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  2. Beth S. Pearce DPM, BA(Biology)
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  3. Thais Khouri Vanetti MD, FIPP
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Corresponding author

Correspondence to Michael N. Brown DC, MD .

Editor information

Editors and Affiliations

  1. Pain and Headache Center, Anchorage, AK, USA

    Andrea M. Trescot MD, ABIPP, FIPP (Medical Director) (Medical Director)

Electronic Supplementary Materials

Below is the link to the electronic supplementary material.

Physical exam of the sural nerve at the calf (MOV 30626 kb)

Landmark-guided injection of the sural nerve at the calf (MOV 18953 kb)

Landmark-guided injection of the sural nerve at the lateral malleolus (MOV 21556 kb)

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© 2016 Springer International Publishing Switzerland

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Brown, M.N., Pearce, B.S., Vanetti, T.K. (2016). Sural Nerve Entrapment. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_71

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  • DOI: https://doi.org/10.1007/978-3-319-27482-9_71

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27480-5

  • Online ISBN: 978-3-319-27482-9

  • eBook Packages: MedicineMedicine (R0)

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